The Effect of self-management program on pulmonary function in Chronic Obstructive Pulmonary Disease Khon Kaen Hospital

Abstract

Introduction : Chronic obstructive pulmonary disease (COPD) constitutes a substantial and escalating health concern, demanding effective self-management strategies. Enabling patients to adeptly manage their condition holds the potential to mitigate exacerbations and enhance overall quality of life.

Objective : Aim to investigate the impact of a self-management program on pulmonary function parameters in individuals afflicted by COPD.

Methods : Employing a quasi-experimental design with both experimental and control groups, the research was conducted. The participant cohort encompassed COPD patients aged 18 years and above, availing services at the obstructive pulmonary disease clinic between May 2023 and July 2023. Utilizing purposive sampling, a total of 70 patients were selected, adhering to specific inclusion criteria. The subjects were divided into two groups: 1) the experimental group comprising 35 patients exposed to a comprehensive self-management program, and 2) the control group receiving standard nursing care. The intervention encompassed a tailored self-management protocol targeting COPD patients. Data collection employed a pulmonary function monitor, a pulmonary function record form, and a self-management behavior scale. The dataset underwent analysis employing percentages, means, standard deviations, and t-test statistics.

Results : Following program implementation, the experimental group exhibited a noteworthy improvement in self-management behavior scores, diminished fatigue severity, and enhanced walking distance during the 6-minute exercise tolerance test compared to both their pre-program baseline and the control group, significant at the 0.05 level. However, peak expiratory airflow rates showed no significant discrepancy between the two groups.

Conclusions and Recommendations : The implementation of a self-management program for COPD patients appears to effectively foster self-management skills among afflicted individuals. Prolonged application and continued monitoring of this program are recommended for optimal outcomes in the long term.